HomeMy WebLinkAboutDrain Layers Permit 274 Nutmeg Road TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 3218 Contractor STAMM CONSTRUCTION CO
Location 0274 NUTMEG---ROAD Address P.O. BOX 11151
Type Work. TELEPHONE 15 HOLMES ROAD
NEWINGTON CT 06111
R igne,.No, ( 860)666-2401
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Permit No. 3218 Town of South Windsor, CT
Date 10/19/2001 Street Excavation Permit
Expiration Date 10/19/2002
Descrip:
Applicant Location
Naml STAMM CONSTRUCTION CO ; ,0274 NUTMEG ROAD
Addr. P.O. BOX 11151
NEWINGTON CT 06111 Type .af :Work TELEPHONE
Phone (860)666-2401
Applicant agrees t4 U rn,i. -the" Tbwni af• $outs`;Windsor the amount of bond
required and to reimburse the Tt�wn of South Windsor~ for any expenses
incurred by the Town fc,r m$l�itenar de ar,x'repai r Wor— rt connection with this
permit and that applicant>aifam� liar :wt and. =wi11 abide by the rules and
regulations for permits .�autl tld i n ToWrt of South Windsor' s Street
Cut Permit Manual-
* PERMIT TO 8E, KEPT ON «JO{ S,ITE` AT: ALL TIMES.
Issued by Title
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Date Completed /0 Inspected By
APPLICATION FOR STREET EXCAVATION PERMIT
TOWN OF SOUTH WINDSOR
PUBLIC WORKS_DEPARTMENT �w
TOWN HALL
040 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE $2S00
Name of Finn sT.am C'O�vdY/?i!!G i6wl �'�, IN G . Phone No. � 29U
Address of Finn
Location of proposed work Aer7 �''�� `_'
Describe fully nature of permit.requested 4 ' c-sz✓a r-,C 77Zd'.,CAJ —
Starting data U ,dcr z zz,Ge y- z-7 Apprm thrre f;
Call Before You Dig No.200/3&W 7 S 3 Traffic Services Contr+N No.
Show sketch of proposed work or fumish To be 111Md oft by D-M of Spift Mo dsor
two copies of separate drawing /gv •---r G'ol.zO
E
Indicate North Prop.stm of art
No.curs -
1 ; ..AmL of Deposit$ 6Ul ✓ by
_ I U046CheckI
Opt sae after perm.Patch
r . No. Cuts
Final Bluing$
Amt.Due Payee$
Amt Due Town$
Applicant is responsible for contacting by date
the Police Dept and GB.Y.D•
I AGREE TO FURNISH TO THE TOWN OF SOUTH WINDSOR THE AMOUNT OF BOND REQUIRED AND TO REIMBURSE THE TOWN,OF
SOUTH WINDSOR FOR ANY EXPENSES INCURRED BY THE TOWN FOR MAINTENANCE OR REPAIR WORK IN CONNECTION WITH THIS
PERMIT AND THAT I AM FAMILIAR WITH AND WILL ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE
TOWN OF SOUTH WINDSOR'S STREET CUT PERMIT MANUAL
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Signed: Date: /O Jy` ZavJ
k Title: D.L*:
PERMIT SHALL BE KEPT ON 308SM AT'ALL TIMES
Standard Forms\Permits\Street Excavation Permitdoc
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